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NPI Code Detail

MEDICARE: NEVADA SENIOR SERVICES INC

MEDICARE: NEVADA SENIOR SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1063925253
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEVADA SENIOR SERVICES INC
Provider Business Mailing Address
First Line : 901 N JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-1603
Country : US
Telephone Number : 702-333-1544
Fax Number : 702-648-1408
Provider Business Practice Location Address
First Line : 901 N JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-1603
Country : US
Telephone Number : 702-333-1544
Fax Number : 702-648-1408
Authorized Official
Title or Position : CFO
Name : LES JACOBS
Credential :
Telephone Number : 702-333-1544
Provider Enumeration Date : 11/09/2017
Last Update Date : 11/09/2017

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Directions to “NEVADA SENIOR SERVICES INC ” Practice Location

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